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<blockquote data-quote="Unbeliever" data-source="post: 276077" data-attributes="member: 30851"><p>It doesn't make you lose wweight just doesn't put any on as a lot of medication will. Were you told to take it in the morning?</p><p></p><p>I imagine ou take your metformin then too?I naturally wouldn't advise you to go against medical ad vice unil you have at least ried it but I have always found wih medicaion that the HCPs don't always have a goood reason for telling you o take medication at a particular ime. It is very much an individual thing and sometimes you just have o find by rial and error, what is right for you.</p><p></p><p>Sometimes there are valid reasons why you should take meds at particular imes but wih fairly new drugs like Januvia there is not always a valid reason.</p><p></p><p>The diabetes consultant at the hospital , for example , has a theory that all diabetes drugs should be taken first thing in the morning. His real rationale as he admitted, is cusomer convenience! He pointed out that SR metformin should last las all day and as Januvia is supposed only o kick in when you need it that should be ok taken that way too. </p><p></p><p>As I once had a very helpful Gp who used to tell me to find he best way for myself I have no compunction in always doing hat.</p><p></p><p>The reason I menion his is that you may not get the best from Januvia by assuming it has to be taken in the morning.</p><p>In you rcase his may be the righ thing but I think people sometimes assume a drug isn working for theeme because they are oo rigid with it.</p><p></p><p>I began by taking it at night for two reasons. Firstly because my spikes occurred after an evening meal- the smaller he meal the bigger he spike. Secondly because new meds always have an enormous effect upon me and I feel it dsafer o ry them at night.</p><p></p><p> This is mostly what I do still but because I have a routine of balancing meals wih either meds or exercise I will take the Januvia with my main meal even if this should happen to be the middle of the day. </p><p></p><p>By doing this I discovered that Januvia is obviously effective in stopping the dawn phenomenon too. My levelas are always lesss in he morning when I take it at night than if I take it at lunchime. I think it maybe is only effective for about 12 hours.</p><p></p><p>I hope that this is not oo confusing for you. Basically I am saying that if it doesn't seem to do much for you then try taking it at a different time to fit in with YOUR lifesylle. It works best to prevemnt spikes so take it when spikes are likely o occur. There is no harm in ding this as you wont hpo on Januvia.</p><p></p><p>Hope it works well for you.</p><p></p><p>B</p></blockquote><p></p>
[QUOTE="Unbeliever, post: 276077, member: 30851"] It doesn't make you lose wweight just doesn't put any on as a lot of medication will. Were you told to take it in the morning? I imagine ou take your metformin then too?I naturally wouldn't advise you to go against medical ad vice unil you have at least ried it but I have always found wih medicaion that the HCPs don't always have a goood reason for telling you o take medication at a particular ime. It is very much an individual thing and sometimes you just have o find by rial and error, what is right for you. Sometimes there are valid reasons why you should take meds at particular imes but wih fairly new drugs like Januvia there is not always a valid reason. The diabetes consultant at the hospital , for example , has a theory that all diabetes drugs should be taken first thing in the morning. His real rationale as he admitted, is cusomer convenience! He pointed out that SR metformin should last las all day and as Januvia is supposed only o kick in when you need it that should be ok taken that way too. As I once had a very helpful Gp who used to tell me to find he best way for myself I have no compunction in always doing hat. The reason I menion his is that you may not get the best from Januvia by assuming it has to be taken in the morning. In you rcase his may be the righ thing but I think people sometimes assume a drug isn working for theeme because they are oo rigid with it. I began by taking it at night for two reasons. Firstly because my spikes occurred after an evening meal- the smaller he meal the bigger he spike. Secondly because new meds always have an enormous effect upon me and I feel it dsafer o ry them at night. This is mostly what I do still but because I have a routine of balancing meals wih either meds or exercise I will take the Januvia with my main meal even if this should happen to be the middle of the day. By doing this I discovered that Januvia is obviously effective in stopping the dawn phenomenon too. My levelas are always lesss in he morning when I take it at night than if I take it at lunchime. I think it maybe is only effective for about 12 hours. I hope that this is not oo confusing for you. Basically I am saying that if it doesn't seem to do much for you then try taking it at a different time to fit in with YOUR lifesylle. It works best to prevemnt spikes so take it when spikes are likely o occur. There is no harm in ding this as you wont hpo on Januvia. Hope it works well for you. B [/QUOTE]
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